The Royal College of Radiologists
Annual Report and Accounts 2003–2004 The Royal College of Radiologists 38 Portland Place London W1B 1JQ
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Citation details: The Royal College of Radiologists (2004), Annual Report and Accounts. Royal College of Radiologists, London.
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Annual Report 2003–2004
Trustees’ Report Report by the President of the College 4 Report by the Warden of the Fellowship 6 Report by the Registrar of the College 11 Report by the Chief Executive 13
Faculty of Clinical Oncology Report by the Dean 14 Report by the Editor 16 Report by the Warden 17
Faculty of Clinical Radiology Report by the Dean 18 Report by the Editor 22 Report by the Warden 23
Standing Committee Reports Junior Radiologists’ Forum 26 Standing Scottish Committee 27 Standing Northern Ireland Committee 29 Standing Welsh Committee 30
Accounts 2003 Report by the Treasurer 31 Financial Statements 34
The X Appeal Report by Chairman 38 List of Donors 40
Eponymous Lectures, Scholarships, Fellowships, Bursaries, Awards and Prizes 42
Scientific Meetings 46
Trustees 48
Annual Report and Accounts 2003–2004 1 2 The Royal College of Radiologists The Royal College of Radiologists
The Royal College of Radiologists was incorporated by Royal Charter in 1975. It is a registered Charity (no 211540). Under its Charter, the College’s objectives are: • the advancement of the science and practice of radiology • the furtherance of public education • the promotion of study and research. In pursuit of these objectives, the College undertakes the following activities in the specialties of clinical radiology and clinical oncology: • sets professional standards of practice • sets the curricula to ensure the high educational standards necessary for safe and responsible practice • assesses schemes for training in the specialties of clinical radiology and clinical oncology • defines and monitors programmes of education and training for clinical radiologists and clinical oncologists at all stages of their careers • sets the syllabus and conducting the examinations necessary to become a Fellow of the College (FRCR) • encourages members to keep up to date in advances in their specialty by running programmes of continuing professional development (CPD) • awards prizes and scholarships, and funding travelling professorships and lectureships • acts as a major provider of education for clinical radiologists and clinical oncologists through the lectures, conferences and teach-ins it organises • initiates and co-ordinates research • strongly supports academic oncology and academic radiology • promotes clinical effectiveness amongst members • offers advice and guidance to patients, members and other doctors on all aspects of the College’s work • makes statements and publishes reports on issues of health and health care it considers to be of public importance • liaises with government, other medical Royal Colleges, Associations and Institutes • publishes scientific journals, reports and guidance. The College has some 6,300 members and Fellows worldwide, representing the disciplines of clinical oncology and clinical radiology. All members are registered medical or dental practitioners. Clinical oncologists are medical specialists skilled in all non-surgical forms of cancer treatment and use radiotherapy, chemotherapy, hormone therapy, radioactive isotopes and other special techniques to treat patients with cancer. In addition to treating those patients who are radically cured of their disease, the clinical oncologist is frequently the only physician, together with the family practitioner, to manage the patient throughout the whole course of their cancer. Clinical radiologists are medical specialists who provide a diagnostic imaging service to patients referred to them by family practitioners and hospital doctors. Patients referred to clinical radiologists by such specialists, are referred for assistance in diagnosis and help in deciding upon the best management of a patient’s problems. In appropriate cases radiologists use “minimally invasive” methods to treat diseases of blood vessels, thus avoiding the need for surgery. As a registered charity, the College is independent of the state and not part of the UK National Health Service. However, through members, both in the UK and overseas, the standards and influence of the College have a direct benefit to the patient.
Annual Report and Accounts 2003–2004 3 Trustees’ Report
Report by the President of the College The reports of the Deans and Wardens will show that there has been a huge amount of extra activity in the College over the last year. This has only been possible because of the dedication of the staff and also all those Fellows and Officers who contribute so much to College activity. Increasing work pressure and the new consultant contract is, however, making it more difficult to become involved in College activity, even though its importance grows rather than diminishes. Partly with this in view, the College has decided to change from a 4-term to a 3-term year starting in 2005. This will reduce the number of Board, Committee and Council meetings but increase the time between them so that more work may have to be done by correspondence. Council will in future meet in March, July and November after a full round of Board meetings and has retained a date in May for strategic discussions at a freestanding Council meeting. In order to facilitate this change the College website is being redesigned to improve communication. This needs to be done in conjunction with a new membership database so that we can start to think about person or interest-specific mailings and reduce our reliance on paper communication. There will be more information about this over the next year. The extensive programme of central Government funded equipment replacement announced last year continues, and by 2006 it is expected that most of the outdated equipment, which is still in service in both clinical radiology and clinical oncology departments will have been replaced. There are still problems, however, in commissioning additional equipment, and waiting times for both diagnosis and treatment are still too long. The Government has sought to resolve what we hope is a temporary problem by commissioning additional capacity from the independent sector. While we welcome this, there are issues of integration with NHS staff and departments, and the College is active in trying to resolve these issues The Postgraduate Medical Education and Training Board (PMETB) was established in October 2003, and is due to assume the functions of the Specialist Training Authority (STA) and the Joint Committee for Postgraduate Training in General Practice (JCPTGP) in October 2004. Nearly all of its energy to date has been in getting ready for issuing certificates of completion of training and in setting up a framework for handling new rules on equivalence for overseas doctors. It will be some time before the PMETB starts to become involved in reorganising post graduate medical education, but currently the signs are that this will be in close cooperation with the Colleges. Over the next few years, the NHS will be introducing a system of ‘payment by results’ where there will be a national tariff for each Health Related Group (HRG). It is critically important that the tariff accurately reflects the cost of providing the service, and the College is involved in helping to ensure that this is so. Consultant staffing in both clinical radiology and clinical oncology remains a problem, and there is a need to continue to expand training numbers. This, however, is no longer by a process of central allocation in England but devolved to local Workforce Development Confederations (WDCs). There is such local pressure to meet waiting list targets and the requirements of the European Working Time Directive that few WDCs are prepared to invest in clinical radiology or clinical oncology training. For clinical radiology in particular, central allocation may have to continue if the much needed consultant expansion is to happen. We, therefore, continue to keep this under close review and to bring the likely consequences of decisions to the attention of Ministers. The Integrated Training Initiative, which aims to increase training capacity in clinical radiology remains an important initiative and is being taken forward through the ‘first wave’ sites in Leeds, Norwich and Plymouth. Progress is slightly slower than anticipated, but this innovative programme should soon make a contribution to training numbers in clinical radiology.
4 The Royal College of Radiologists Over the last few years, relations with the British Institute of Radiology (BIR) have sometimes been strained, but it is a pleasure to report that there is a welcome recognition of the benefits to be gained from working together and each being successful in our respective fields. Cross representation has been agreed on a number of important committees, and we continue to explore opportunities for fruitful co-operation. At the time of last year’s report, Andrew Hall had just been appointed as the new Chief Executive of the College. Over the last year, he has done much to encourage new developments within the College and has been a source of great support to Officers and staff in seeing through the many changes that have been enacted. Professor Ann Barrett stands down as Dean of the Faculty of Clinical Oncology at the AGM. In spite of her numerous other commitments, including taking on a new Chair in Norwich, she has done an enormous amount to take the Faculty of Clinical Oncology forward and she will be much missed. This is my last report as President. It has been an honour and a privilege to serve the College for the last 3 years. I know that I speak for all College Officers when I say that we are grateful for the commitment, industry and support of the permanent College staff and members and Fellows. My job has been made immeasurably easier by the strong support that I have received for which I am very grateful. I know that my successor Professor Janet Husband will receive as much support as I have, and I wish her and the College well.
Dan Ash, President
Annual Report and Accounts 2003–2004 5 Trustees’ Report
Report by the Warden of the Fellowship
Final Examination for the Fellowship The Final Examination for the Fellowship was held in October 2003 and April 2004. In October 2003, 23 of the 44 clinical oncology candidates and 154 of the 224 clinical radiology candidates were successful. In April 2004, 23 of the 47 clinical oncology candidates and 73 of the 132 clinical radiology candidates were successful. The Joint Final Examination for the Fellowship of the Royal College of Radiologists and the Hong Kong College of Radiologists was held in Hong Kong in October 2003. 4 of the 11 clinical oncology candidates and all 4 of the clinical radiology candidates were successful. The following, having satisfied the Examiners, were, therefore, admitted to the Fellowship:
Clinical Radiology Butler, AM Fischer, T James, SLJ Byass, OR Fletcher, J Javid, M Abdulkarim, JA Flis, CM Jayaraman, S Acharya, GRV Camenzuli, AM Flynn, S Jayaram, V Aftab, K Chaaban, AK Forbat, SM Jefferson, NR Agrawalla, S Chakraborty, S Jogi, DH Gada, VS Ahmad, MZ Chakrabarthi, S Johnston, CJ Geary, SC Ahmed, AO Chaudry, GA Gharpuray, AM Kamba, TC Ahmed, J Cheng, LT Girvin, FG Karanwal, DA Ajilogba, KA Chong, LR Green, SJ Khan, N Alam, SMA Choudhary, AK Griffin, Y Klava, A Alattaya, AAI Chowdhury, PAH Guirguis, RW Ko, CC Al-Hajeri, MNM Corr, CJ Gupta, A Kraft, J Almolani, FMA Cresswell, ME Gutteridge, CM Kumaravel, M Al-Tayar, AJAB Crooks, RAJ Al Zadjali, NKS Crowther, SM Hamill, JP Lam, CYF Al-Zwae, KOM Hamilton, B Landes, CJ Dalal, PU Ananthasivan, R Harish, S Lanka, LN Davis, JE Anderson, JM Hattingh, L Larsen, J Demaine, GP Anil Kumar, A Hawkins, RM Lee, JC Denison, AR Anil Kumar, BC Helpert, C Lehmann, ED Desigan, S Annamalaisamy, R Hodgson, R Levine, DS Dhillon, MS Aravindhan, R Ho, T Li, A Dunn, AJ Arora, A Houghton, RP Lim, W Ederies, MA House, CV Lin, SE Barnard, SA Eid, AFAM Huang, JYS Low, DE Batool, I El Beltagi, AHH Hughes, JL Lowe, AS Beal, IK El-Saeity, NS Hussain, FF Lynch, T Bell, RE England, RA Hwang, CY Benamore, RE MacMullen-Price, JA Evans, AL Hyare, H Bharati, C Mak, SYSK Evans, HW Bhattacharjya, T Ingham, FE Malhotra, A Bowen, EJ Fansur, M Manoharan, M Jackson, NM Brauer, KA Fareedi, S Markose, G Jain, N Briggs, G Farrant, JM Marmery, H Jalaludin, S Brittenden, J Fasih, N Massey, GS
6 The Royal College of Radiologists Trustees’ Report
McCall, A Paul, MJ Sayer, GE Ullah, Q McCreath, CM Peacock, TE Scarsbrook, AF Unnithan, DVG Mohsin, NM Pillai, AK Shaw, MR Venkatesh, SK Morley, SJ Pimpalwar, SA Sheah, BJK Viney, ZN Moser, SG Potter, KC Shirley, JF Vora, P Mubashar, M Prabhu, SP Siddiqui, MA Vydianath, SR Mukhopadhyay, K Puri, S Simpson, JA Mulholland, NJR Singh, NK Wakely, SL Quigley, M Muller, MC Singh, RK Walker, JM Qureshi, NR Murad, M Smith, JT Walker, PT Radhesh Krishna, L Snape, SL Warakaulle, DR Napier, E Raja, JH Squirrell, CA Warbey, VS O’Brien, A Rajan, PS Syed, IA Wardle, DPA O’Keeffe, P Rangi, PS Sy, NL Ward, TP Oommen, J Read, S Wenaden, AET Tang, PH O’Regan, DP Rennie, WJ Whalley, JA Tan, KL O’Rourke, EJ Ripley, CS White, GJ Tan, SC Owen, AR Robertson, FJ Wilding, LJ Tappouni, R Owens, EJ Roger, MD Willatt, JMG Tay, KY Rose, DFG Williams, CJ Padmanabhan, R Teo, H-G Woodward, NJ Paisley, KE Sabir, S Teo, LSL Worthington, JM Pandya, H Sadek, SK Thomas, JA Partridge, WJ Salahudeen, S R Thomas, NF Patel, RD Salem, KSM Train, ML Patel, VA Sarwani, NIMI Turner, CA Pattison, JM Saw, CB
Clinical Oncology De Silva, S Law, LYA Saleem, A Drake, AT Lee, SH Srinivasan, R Adams, R A Al-Booz, HMK Guglani, S Marshall, JK Taylor, CW Alonzi, R McAleese, JJ Thomson, AH Hall, JR Al-Salihi, ON Mendes, RL Harrand, RL Vilarino-Varela, MJ Misra, V Beresford, MJ Hicks, JD Morris, SL Waite, KJ Hingorani, M Camilleri, P Muthukumar, D Walther, JC Hughes, RJ Chang, YC Wang, LCM Niblock, PG Chan, LC Jain, P Whitmarsh, KA Charalambous, HC James, AM Panakis, N Charnley, NG Johnston, RE Parkinson, JMT Choudhury, A Poon, SLF Kassam, FZ Clenton, SJ Kong, HA Reed, NL Creak, AL Rizwanullah, M Rolles, MJ
Annual Report and Accounts 2003–2004 7 Trustees’ Report
The Rohan Williams Medal for Clinical Radiology was awarded, on the results of the Autumn 2003 examination, to Dr Chung Chun Ko of the Newcastle upon Tyne training scheme. The Rohan Williams Medals for Clinical Oncology were awarded, on the results of the Autumn 2003 examination, to Dr Julia Rachel Hall of the London training scheme and, on the results of the Spring 2004 examination, to Dr Hee Anthony Kong of the London training scheme. The Frank Doyle Medal for the Spring 2004 sitting of the Final FRCR Part A Examination in Clinical Radiology was awarded to Dr Judith Lynn Baber of the West Midlands training scheme.
First Examination for the Fellowship The First Examination for the Fellowship in Clinical Radiology was held in June 2003, December 2003, March 2004 and June 2004. In June 2003, 68 of the 127 candidates were successful. In December 2003, 293 of the 402 candidates were successful. In March 2004, 93 of the 152 candidates were successful. In June 2004, 63 of the 206 candidates were successful. The First Examination for the Fellowship in Clinical Oncology was held in September 2003 and March 2004. In September 2003, 62 of the 73 candidates were successful. In March 2003, 32 of the 45 candidates were successful. The Frank Doyle Medals were awarded, on the basis of the Autumn 2003 examination, to Dr Mazhar Adnan Ajaz of the London training scheme and, on the basis of the Spring 2004 examination, to Dr Robin James Daniel Prestwich of the Leeds training scheme.
Fellowship without Examination The following were admitted as Fellows without Examination: Dr C Anagnostopoulos, London Dr HW Gray, Glasgow Dr VSB Khoo, London Professor MJ Lipton, USA Dr FH Saran, Sutton Professor MCG Stevens, Bristol Professor T Yousry, London
Specialist Training Training schemes in both Faculties are rising to the challenges of implementation of the European Working Time Directive, particularly with regard to the consequences of out-of-hours working upon ‘daytime’ training opportunities and maximising the educational opportunities of out-of-hours experience. As a result of the Government’s Modernising Medical Careers initiative, from 2007 all newly qualified doctors will enter a 2-year programme in supervised posts – the “Foundation Years” – instead of the current PRHO year and first year of SHO training. It is envisaged that most will then directly enter specialist training. The practicalities and appropriateness of including exposure to clinical radiology and clinical oncology in Foundation Year 2 are being considered. Modification will be necessary to the structure and content of specialist training, particularly in the early years, in recognition of the different level of clinical experience that will have been attained by those entering specialist training in the future.
8 The Royal College of Radiologists Trustees’ Report
Specialist Registration In 2003, the Royal College of Radiologists recommended the award of Certificates of Completion of Specialist Training (CCST) to 36 clinical oncology trainees and 114 clinical radiology trainees. It also recommended the eligibility of 10 clinical oncologists and 53 clinical radiologists for entry to the GMC Specialist Register on the basis of equivalent training and qualifications. The College’s procedures for the assessment of overseas doctors who apply for entry to the GMC Specialist Register will be revised once the new legislation governing Specialist Registration and formally establishing the Postgraduate Medical Education and Training Board (PMETB) is implemented later in 2004. It is anticipated that the revisions will be more flexible than the current legislation and allow experience as well as training and qualifications to be taken into account when assessing whether a doctor’s skills, knowledge and competency can be considered equivalent to those required for award of a CCST.
Continuing Professional Development (CPD) Certificates of Satisfactory CPD Participation were issued to those with a CPD target date of 31 December 2003 who had achieved their target. 75% of clinical oncologists and 77% of clinical radiologists achieved their targets. Overall, 71% of clinical oncologists and 81% of clinical radiologists were up-to-date with their CPD requirements as at 31 December 2003. The College is considering whether it would be beneficial to its members to provide an electronic CPD diary and has looked at a number of potential packages. At present, due to the costs and restrictions of these, the most likely route is to provide such a resource through the College’s own website. The Union of European Medical Specialties (UEMS) plans to establish a single European accreditation body for international meetings. Details of how this might affect the College’s position and procedures are being sought through the Academy of Medical Royal Colleges and Faculties.
Training Accreditation Committees Training Accreditation Committees of both Faculties have continued to review and refine their documentation and procedures to ensure objective assessments and prompt provision of concise relevant reports. The establishment of the PMETB will affect the College’s processes for training accreditation, although it is not anticipated that major alteration will be necessary. Dr HH Lucraft has been appointed to succeed Dr RE Taylor as Chairman of the Clinical Oncology Training Accreditation Committee with effect from the commencement of the 2004/2005 College year. Dr CS McKinstry has been appointed to succeed Dr PLP Allan as Chairman of the Clinical Radiology Training Accreditation Committee with effect from the commencement of the 2005/2006 College year.
Regional Post-Graduate Education Advisers Meetings between the Wardens and the Regional Post-Graduate Education Advisers continue, and offer a valuable opportunity for the exchange of views and information on training matters between the regions and the College. In clinical radiology, an annual joint meeting of Regional Advisers and Heads of Training Schemes continues to be held each Spring.
Annual Report and Accounts 2003–2004 9 Trustees’ Report
Examining Boards The Wardens and Education Boards express their thanks to the Chairmen of all Examining Boards for their invaluable work throughout the year and to all members of the Examining Boards for their continuing work on behalf of the College. Dr DRM Lindsell succeeded Dr KC Dewbury as Chairman of the Fellowship Examining Board in Clinical Radiology with effect from 1 January 2004.
Education Board Retiring Members The Wardens and Education Boards wish to record their thanks to the following members who completed their terms of office at the end of the 2003/2004 academic year. Clinical Radiology Clinical Oncology
Dr MC Collins Dr AM Cassoni Dr RC Fowler Dr JM Hawnaur
Secretariat The Wardens, Education Boards, Examining Boards and Training Accreditation Committees express their appreciation for the support provided during the year by all staff of the College’s Education Department.
Adrian Dixon, Warden of the Fellowship
10 The Royal College of Radiologists Trustees’ Report
Report by the Registrar of the College
Work of Council Brief reports of the work of Council are circulated to members and Fellows after each Council meeting and are also published on the College’s website: www.rcr.ac.uk/membersandfellows. Council members are the Trustees of the College as a charity. They are also responsible for the governance of the College and its efficient management. Following a strategy discussion in 2003, Council has taken forward a number of important initiatives including:
• a review of the roles and terms of office of College Officers. This has led to the proposal to the AGM this year that the term of office of the Dean of clinical radiology be increased by 1 year to 3 years and the term of office of the Registrar of clinical radiology be reduced by 1 year to 3 years.
• an invitation to each Faculty to establish a “Blue Skies” working party to look ahead at prospects for the specialties. The Deans’ reports record these initiatives.
• a review of lay involvement in the work of the College. Lay people serve on Council, Faculty Boards, the Patients’ Liaison Groups, the Finance Advisory Committee and the Service Review Committee, among others. The review has led to improved support for and liaison with and between lay people, recognising the important roles they play.
• a decision to build on communications with and feedback from members and Fellows of the College as part of a review of external relations.
Honorary Fellowship The following have been admitted as Honorary Fellows: Mr Anthony John Cowles, former General Secretary, the Royal College of Radiologists Professor Nicholas Gourtsoyiannis, University of Crete, Greece
United Kingdom Radiological Congress (UKRC) G-MEX, Manchester, was the very successful venue for the 2004 UK Radiological Congress which took place from 6–8 June. Professor Adrian Moore, the congress President and his team are to be congratulated on the high quality of this meeting, which attracted a large number of participants.
Radiological Society of North America (RSNA) 2003 and European Congress of Radiology (ECR) 2004 The College had stands in the exhibitions at both of these meetings. They provide a chance to promote the College and its activities to an international audience, as well as to promote the United Kingdom Radiological Congress.
Annual Report and Accounts 2003–2004 11 Trustees’ Report
Membership It is with regret that Council records the names of members and Fellows who have died since the last Annual Report. Dr LNC Ah-Fat Dr R Farrow Dr DA Batchelor Dr HT Ford Dr DK Bewly Dr GT McCreath Dr JB Bingham Dr WD Nichols Dr JR Brown Dr NW Ramsey Dr KW Chan Dr P Renton Dr A Damera Dr KA Rowley Professor Sir WRS Doll Dr HP Tolloh Dr D Edwards Dr BD Van Leuven The current membership of the College stands at 6,376.
Equal Opportunities The College’s Equal Opportunities Policy can be found on the website: www.rcr.ac.uk/college. Analysis of ethnic origin data collected on FRCR candidates during 2003 is in train.
College Website The website continues to be developed by a team comprising both Fellows and College staff led by Dr Peter Torrie. A programme of developments has been planned for this year and budget provision made. Associated with the website was the circulation of the first email bulletin to members and Fellows for whom the College has an email address in June 2004. It was enthusiastically received by members and Fellows. The College website can be found at www.rcr.ac.uk, with the associated patient information site at www.goingfora.com.
Retiring Officers and Council Members On behalf of the College, Council would like to thank Dr Dan Ash, President, who concludes his term of Office in September this year and who has had a highly successful period in office. Council would also like to record its thanks to Professor Ann Barrett who completes her term as Dean of the Faculty of Clinical Oncology for all her work for the Faculty and the College. Council would also like to thank the following Council members who retire this year:
Clinical Radiology Clinical Oncology
Dr Conall Garvey, Liverpool Dr Victor Barley, Bristol Dr Clive Harmer, London
Robin Hunter, Registrar
12 The Royal College of Radiologists Trustees’ Report
Report by the Chief Executive During my first full year with the College, I have continued to be impressed by what the College achieves through its staff and in particular in dealing with growing demands. For example, we continue to face a very large number of applications for assessment under the International Fellowship Scheme; the number of candidates presenting themselves for the clinical radiology examinations continues to grow; we are invited to offer comments on a seemingly never-ending stream of consultation papers; and our Officers are asked to participate in ever increasing areas of work in support of members and Fellows. All these demands have been borne with considerable skill and good humour by College staff. I am, however, conscious of the pressures that these volumes of work bring as we plan for the future. We have been developing a forward plan to identify priorities and deploy the resources we have in the most effective way. Officers have agreed to bring in house our current PR service and the new member of staff recruited will have a focus on improving the effectiveness of communications with members and Fellows, managing the content and development of the College website and email bulletins to members and Fellows. We are also planning to replace the corporate database that has served the College well during the past decade but which is now becoming obsolete. This year has also seen progress made on improving facilities for members and Fellows and other users of the College building: an air conditioning system was installed at the end of last summer and a new telephone system was installed in March. At the same time, all staff have been briefed on the impact of the Data Protection Act, and we are taking forward a programme of work to ensure continued compliance with the Act. This is important as the College is the steward of significant amounts of personal data about members and Fellows. There is continued work on market testing contracts for the supply of various goods and services to ensure we obtain the necessary levels of service, quality of products and good value for money, eg, in print and mailing services and in building maintenance programmes. Overall this has been a year of good progress, but there is still a great deal to do to ensure we use the funds at our disposal, very largely contributed by members and Fellows of the profession, to the best effect. I wish to record my thanks to the President and Officers for all their support and guidance during the year and for the continued warm and enthusiastic support given to me by all the staff. If there is any concern you would like to raise about the operation of the College, then please do get in touch by post, telephone or email ([email protected]).
Andrew Hall, Chief Executive
Annual Report and Accounts 2003–2004 13 Faculty of Clinical Oncology
Report by the Dean of the Faculty The year has been a busy one for College Officers and staff. Once again, we have responded to a number of major changes which the Department of Health wishes to see implemented. At the time of writing, the new consultant contract has been accepted by only a very small number of Trusts and outstanding problems of financing the deal remain. When we looked at job planning in relation to the normal activity of clinical oncologists, it of course confirmed that we are, on average, working 2 to 5 additional sessions per week. We issued guidance to Heads of Service to assist with job planning in which we stressed the importance of recognising multi-disciplinary team working as an activity requiring dedicated time. The Postgraduate Medical Education and Training Board has been set up this year and we are waiting to see what impact that will have on our training and assessment programmes. The College needs to be innovative and flexible to continue to ensure appropriate specialist training and standards of working. Work during the year has included a re-audit of waiting times which, unfortunately, like the equipment and workforce review published in the summer of 2003, confirms that waiting lists are still a major problem throughout the country. Modernising Medical Careers has given a new blueprint for SHO training, and the Faculty has suggested to the Department of Health ways in which these new jobs might provide experience of oncology. Again, a guidance paper was circulated to Heads of Service to use, if they wished, in their local negotiations. The Workforce Numbers Advisory Board has confirmed that we are on target for achieving the planned expansion in consultant numbers in England which are needed to cope with the demands of increasing patient numbers, increased complexity of treatment and new ways of working, particularly with regard to meeting national guidelines and targets for cancer services. Working Parties have continued to look at ways of increasing the capacity for radiotherapy in the country. Dr Mike Williams has chaired an efficient Working Party which has produced a document entitled Guidance on the Development and Management of Devolved Radiotherapy Services. The Department of Health have commissioned research on ‘extending the working day’, and a group from St Thomas’ will lead this project which will include a survey of experience that has already accrued in many departments. The question of standardisation of fractionation across the country is being addressed in palliative treatments and breast cancer by the excellent randomised clinical trials that have been undertaken. The recent re-audit of waiting times confirmed that single fractions are now being widely used for treatment of bone pain and that there has been a move towards a much smaller number of different regimens for breast cancer as a result of many centres collaborating in the START trial. We have had a joint Working Party with our clinical radiologist colleagues to produce a document on Imaging in Oncology – Diagnosis, Staging and Radiotherapy Planning. The Junior Radiologists’ Forum contributed enthusiastically to this work. They are conscious of the need for good training in diagnostic imaging techniques in order to be able to carry out their responsibilities of target volume definition appropriately. We hope this initiative will contribute to an increasingly close collaboration between clinical radiologists and clinical oncologists as we all try to equip ourselves with the knowledge to make best use of the technical advances that have occurred. In April, Professor Michael Brada and Dr Kevin Harrington arranged an excellent “Blue Skies” one- day meeting which looked at the impact of new technology on treatment delivery, the impact of population and political changes and the changing needs of the next generation of oncologists. The participants had taken a great deal of trouble to research the topics which they had been allocated, and it was a very profitable day which will contribute to formulation of College strategic directions for the next few years.
14 The Royal College of Radiologists We have continued to work with Dr Brian Cottier of The National Cancer Services Analysis Team (NATCANSAT) and the Cancer Services Collaborative through the Heads of Service group, especially in developing ways of capturing clinical and practice data with minimal additional effort from our treatment planning and delivery systems. I have to thank all the staff of the College for the excellent support they have given me throughout my time as Registrar and then Dean. I thank all of the Fellows and Officers of the College who have contacted me with ideas or questions during the last 2 years. I hope that you will be as supportive to Dr Robin Hunter as he takes over from me as you have been to me, and I know that the Faculty will continue to respond to and act on the concerns of our members and Fellows.
Ann Barrett, Dean of the Faculty of Clinical Oncology
Annual Report and Accounts 2003–2004 15 Faculty of Clinical Oncology
Report by the Editor Clinical Oncology continues to attract a large number of high quality submissions for publication. Our move to 8 issues per year from volume 15 has been successful, and we are continuing this into volume 16 with increased page numbers to accommodate the material we wish to publish. Alongside this, we strive to ensure timely publication of accepted manuscripts, and the mean time from acceptance to publication is now 3 months. This high throughput of activity is only possible because of the dedication and efficiency of our numerous reviewers, and particular focus, as always, should be given to the statistical reviewers who provide a unique service to Clinical Oncology, ensuring statistical review of all papers submitted for publication.
The international flavour of Clinical Oncology has developed, and the appointment of Regional Editors in North America, Professor Mary Gospodarowicz, Australasia, Professor James Denham, and the Indian Sub-Continent, Dr Firuza Patel, has been highly successful. In the past few months, there has been considerable additional activity in the Editorial Office preparing for the introduction of electronic submission and refereeing of papers in 2004. We anticipate that, with the successful introduction of this system, Clinical Oncology will become more attractive to authors seeking publication. I am indebted to our Editorial Assistant, Elsie Arjune, for taking on the role of ensuring the smooth and efficient introduction of this system. We must also acknowledge our publishers, Elsevier, for their support and encouragement in this exercise, and indeed for their continued support of Clinical Oncology throughout the year, ensuring its high quality and the timely appearance for each issue. Each year there is a turnover of members of the Editorial Board, who complete their 5-year term of office. As always, I am indebted to all members of the Board for their hard work and support in promoting Clinical Oncology. Following Dr Jonathan Joffe’s retirement, I am delighted to welcome Professor Robert Leonard in his place. The loyalty and hard work of our two Assistant Editors, Dr Trevor Roberts (Book Reviews) and Dr Grahame Howard (Editorials) should also be noted as they continue in these roles for another year. At the time of next year’s report, we anticipate that Clinical Oncology will be functioning with a full electronic submission system and consolidating its position as a major international cancer journal.
Peter Hoskin, Editor
16 The Royal College of Radiologists Faculty of Clinical Oncology
Report by the Warden
Additional Training Numbers In England, only 4 additional training numbers are available for 2004/2005; none of these has central funding so in order to implement these as additional training posts, local funding will need to be identified.
Modernising Medical Careers As reported by the Warden of the Fellowship, Modernising Medical Careers could require a major change to the structure of specialist training in clinical oncology. It is not currently clear whether doctors who wish to train in the specialty will have an opportunity to receive further general medical training after the 2-year Foundation Programme and thus obtain the MRCP qualification as at present. If direct entry to specialist training from the Foundation Programme is mandatory, then clinical oncology trainees will be much less experienced in clinical patient management than at present, and some modification to the structure and content of specialist training to recognise this may be required.
Examinations for the Fellowship Council agreed to modify the format of the First FRCR Examination with effect from the Autumn 2004 sitting through the combination of cancer biology and radiobiology into a single subject; the examination will now comprise a total of 4 subjects. A revised syllabus and reading list were published in May 2004. The aim of this alteration is to reduce the burden of the examination upon candidates. The 2 subjects are seen as complementary disciplines of tumour biology, and a distinction between them seems artificial. Both, however, are important basic cancer sciences and the revised syllabus will still require a sound knowledge of the fundamentals of each. A short-life working party has been established to consider the relevance and fitness for purpose of the format and procedures of both parts of the FRCR Examination and to make recommendations for their further refinement and improvement.
Communication Skills Unfortunately, the communication skills training delivered to consultants through the NHS Cancer Plan has not provided the basis for a suitable assessment process for trainees. Those entering specialist training in clinical oncology will have received communication skills training and assessment during medical school and through the MRCP. At this stage, the College feels it appropriate to review the effects and progress of the implementation of the Government’s initiative and then consider the position of its trainees in about a year’s time.
2004 Cochrane Shanks-Jalil Travelling Professor Dr HJ Dobbs will visit Thailand as the 2004 Cochrane Shanks-Jalil Travelling Professor in late-2004/ early-2005.
Frances Calman, Warden of the Faculty of Clinical Oncology
Annual Report and Accounts 2003–2004 17 Faculty of Clinical Radiology
Report by the Dean of the Faculty This has been a challenging, yet productive year for the College. We have continued to see growth in the numbers of trainees within clinical radiology and some of the first fruits of these endeavours are beginning to be seen in new appointments of consultant radiologists. Workload and workforce, however, remain at the top of the Faculty’s agenda, given the continuing and very severe shortage of clinical radiologists across the country. It is clear that the Government and the Department of Health now recognise that diagnostics in general and clinical radiology in particular represent in many situations the rate limiting step for the investigation and appropriate management of patients. The joint launch with Department of Health in England in July 2003 of the Integrated Training Initiative (ITI) Project, incorporating the programme of electronic learning and the establishment of the first Radiology Academies was testament to the central position that clinical radiology now holds in Government thinking. It is also, however, testament to the very significant and prolonged efforts of Professor Adrian Dixon, Dr Phil Cook, Dr Dick Fowler, Dr Maggie Hourihan and Professor Janet Grant (as Educational Adviser), in developing a product which has fired the enthusiasm, not only of clinical radiologists, but also of key members within the Department of Health. An ITI Executive Group has been established with representation from the Department of Health and from within the College. Very significant work is already underway to develop the electronic learning database and to establish the first Academies in the Peninsula Training Scheme, Leeds, and Norfolk and Norwich. Much work remains to be done and the College will be dependent upon the commitment and hard work of many of its Fellows, who have agreed to contribute as Section Leads and via Special Interest Groups to the various modules which will make up the electronic learning package. The advent of the new consultant contract, albeit yet to be widely implemented at the time of writing, has marked a further complication to the way in which the College provides advice with respect to workload and workforce. The College has drawn heavily on advice from the Radiology Sub- Committee of the BMA in preparing information for members and Fellows, and it has also consulted with the Academy of Medical Royal Colleges in an attempt to clarify some of the issues relating to the professional nature of the contract. The College is surveying workloads and attempting to benchmark patterns of workload. Although indicative numbers are available for different procedures from previous benchmarking studies, these will be affected by not only the different sessional time, which is associated with the new contract, but also different patterns of working. The advice will then reflect the increasing complexity of the work of a consultant radiologist as well as the effect of multidisciplinary team working on the clinical radiologists’ professional life. It is interesting to note that in the last report by the out-going Dean, Dr Mike Dean reported that the College continued to press for Government funding for PACS. It has been a frustrating time but particularly for those intimately involved in lobbying Government for PACS. Professor Peter Dawson, the Registrar, has represented the College on the National Clinical Advisory Board (NCAB) and has continued to campaign with very significant support from the Board for PACS to become a core part of the National Programme for Information Technology. Dr Nicola Strickland as Chair of the IT Sub-committee and through her contacts with the PACS and Teleradiology Special Interest Group, has maintained the currency of the understanding of the College of PACS technology and has ensured the dissemination of information through the regions to prepare for any PACS initiative. The recent government announcement of the roll out of PACS across England suggests that these efforts have been worthwhile. The Government is increasingly looking at ways of improving access to radiology services through the use of electronic transmission of images. The College has been supportive of the use of teleradiology where it improves patient access, the quality of service and supports existing departments of clinical radiology. The College has prepared advice relating to the transmission of
18 The Royal College of Radiologists images, particularly where this transmission occurs outside national boundaries. We have tried to highlight not only the potential benefits for this provision of service but also potential pitfalls and the effects that such a programme will have on existing departments of clinical radiology and existing clinical radiologists and radiographers.
Publications Safe Sedation, Analgesia and Anaesthesia within the Radiology Department – Dr Alastair Charmers. Technical Standards for CT – Dr Jane Adam. Individual Responsibilities: A Guide to Good Medical Practice for Clinical Radiologists – Dr Rob Manns.
Sub-committees Clinical Radiology Regional Chairmen’s Committee
This sub-committee continues to advise the Faculty on the difference between what is desirable and what is possible. Members have provided advice on implementation of National Institute for Clinical Excellence (NICE) guidelines, the effect of the new consultant contract, European Working Time Directive and the impact of new technologies on the clinical radiologist’s workload. The Regional Chairmen are currently working on issues relating to job planning advice, workload and time- sensitive diaries, the impact of multidisciplinary team meetings and remedial training for doctors in difficulties.
Service Review Committee
The committee continues to seek ways of working with other bodies such as the National Clinical Assessment Authority (NCAA) and the National Patient Safety Agency (NPSA), particularly in respect of the avoidance of duplication of effort and the balance of constructive criticism with the sensitive handling of difficult, often interpersonal problems. The committee has been asked to undertake only 1 review since the last Annual Report. It is not clear whether this is due to the greater effectiveness of the Commission for Health Improvment (CHI) (now superceded by the Commission for Healthcare Audit and Inspection – CHAI, or as it is simply known, the Healthcare Commission) or the NCAA or whether there is greater effectiveness in local resolution of problems.
Radionuclide Sub-Committee
The Radionuclide Sub-Committee has considered the subspecialty curriculum for radionuclide radiology and its impact on dual CCST training for nuclear medicine. The sub-committee has addressed the issues relating to cross-sectional imaging training for radionuclide physicians who wished to undertake Positron Emission Tomography (PET) CT and similarly has sought to improve the opportunities for training in PET CT for radionuclide radiologists.
Standards Sub-Committee
The sub-committee has published advice on technical standards for CT and for ultrasound and has also reviewed guidance on good practice for clinical radiologists. Guidance for 360° appraisal is now available to clinical radiologists and although following the guidance is voluntary, it will inform the processes of appraisal. The sub-committee is considering new standards for consent and is revisiting the guidance issued by the College on the use of contrast media.
Annual Report and Accounts 2003–2004 19 Faculty of Clinical Radiology
Audit Sub-Committee
The Audit Sub-Committee continues its work in identifying appropriate topics for national audit. It has received the results of the audit on waiting times for MRI, and the collection and analysis of data on the diagnosis of colon cancer by double-contrast barium enema are now nearing completion. The sub-committee is collaborating closely with NATCANSAT in the development of a web-based tool for collecting data with respect to percutaneous nephrostomy. The sub-committee continues with its successful annual one-day audit leads’ workshop with very high attendance, high quality presentations and active discussions.
Research Sub-Committee
The sub-committee has continued to promote the interests of research together with colleagues on the Audit Sub-Committee. Funding of research remains central to the College’s plans, and the pump-priming grants and the successful development of the research fellowship have reflected this commitment. The College is looking at ways of maintaining and even improving the contribution that it makes to research. The Guide to Radiological Research is now published and represents not only an invaluable source of information but also a compilation of personal experience and singular advice.
Scientific Programme Committee
The last year has again seen an extremely successful programme of events. These have covered a wide range of topics of interest to radiologists at all stages of their career and all types of practice. The one-day meetings represent excellent updates on current practice and this is evidenced by very high attendance rates.
Interventional Radiology Sub-Committee
Recruitment into interventional radiology remains a cause for concern and Focused Invidualised Training will help address some of these concerns. The College and the sub-committee remain in close consultation with the Vascular Surgical Society of Great Britain, with respect to discussing joint education and training ventures particularly since the advent of Modernising Medical Careers.
Information Technology Sub-Committee
The work of the IT Sub-Committee this year has concentrated on preparing and reviewing advice for the introduction of PACS. It has also considered in depth the advice on data protection and has produced guidance for the College and for its members and Fellows on this topic. The sub-committee has considered development of electronic image libraries and the co-ordination of these with the Integrated Training Initiative.
Joint BIR/RCR European Sub-Committee
Much of the work of the sub-committee this year has concentrated upon the impact of European teleradiology. The College is grateful to Professor Iain McCall for his chairmanship of the sub- committee and for his expert knowledge of the “European scene”.
20 The Royal College of Radiologists Faculty of Clinical Radiology
Special Interest Groups
Members of the Special Interest Groups and sub-specialty societies attended a meeting at the College to discuss new challenges for training. The Focused Individualised Training initiative was well- received and other opportunities for modifications to the training programme discussed. The College continues to benefit greatly from input of members of the Special Interest Groups and sub-specialty societies in providing expert opinion when specific questions are asked either by members of the public or by members of government.
Guidelines Working Party
The 5th edition of the College’s referral guidelines, Making the Best Use of a Department of Clinical Radiology, has now been published and well received. Publication in an electronic format for use on NHS Trust intranets is now complete and distribution begun. There remain difficulties with funding an interactive version of the 6th edition of the guidelines. It was planned that the 6th edition of the guidelines would be published primarily in electronic format.
Clinical Radiology Patients’ Liaison Group (CRPLG)
The CRPLG has continued to provide tireless support for the work of the Faculty. Members have lobbied government and anyone else who would listen on the value of the implementation of PACS. They have contributed to the further development of patient advice leaflets, have sought to include within radiology congresses a patient section and continue to provide advice on the goingfora.com website, which seeks to provide accessible public information in both clinical radiology and clinical oncology.
Conclusion
It is invidious to attempt to thank all of those who have contributed to the work of the Faculty over the last year. Suffice to say that the role of the Dean would be impossible if it were not for the contribution of members of committees and of boards, of College Officers and of College staff. It would, likewise, be impossible if members and Fellows, when asked, did not give of their time as freely and willingly as they do. I would like to thank you all.
Paul Dubbins, Dean, Faculty of Clinical Radiology
Annual Report and Accounts 2003–2004 21 Faculty of Clinical Radiology
Report by the Editor The transition to online submission and review of papers is complete, with a clear improvement in turnaround time (the time to first editorial decision is now usually less than 50 days). The final move to online submissions only occurred in September 2003. The Editorial Board comprises 40 members from across the UK. The total number of Assistant Editors has increased from 24 to 36 over the last 5 years, and there is deliberate proportional representation from the subspecialties, reflecting the numbers of subspecialty papers that Clinical Radiology receives. In this way no single Assistant Editor is overburdened with reviewing papers.
The number of original papers and case reports submitted to Clinical Radiology in the first few months of 2004 was approximately 10% up on the same period in the previous year; the dramatic surge in 2003 that followed the introduction of electronic submission appears to have subsided somewhat. Nevertheless, the upward trend in submissions, particularly from overseas, continues and this has been partly addressed by a 10% increase in the page budget. Despite the constraints in the UK on writing and research, it is pleasing that high quality work is still received from some UK centres. Continuing consideration needs to be given to the viability of a nominally UK journal (2 journals, when the British Journal of Radiology is included), particularly in the face of European radiological journals which are on the ascendancy, at least in terms of their impact factors. The educational remit of Clinical Radiology has not been overlooked in the last few months and the Editorial Board has resolved to sustain the recently increased number of commissioned review articles and to maintain the frequency of commentaries by experts. The popularity of specific topics covered in review articles can be gauged by the frequency with which they are accessed online; the “top 20” accessed papers, most of which are review articles, are published in the January issue of Clinical Radiology. There are, of course, potential biases here (such as granny being asked repeatedly to download a favourite grandchild’s paper). Nevertheless, the “top 20” can give an indication of what readers find stimulating. In addition to the new livery of the front cover, the layout and typeface of the journal were changed in January 2004 and favourable comments have been received on this new design. The feasibility of getting all back issues (hard copy) of Clinical Radiology into an electronically accessible archive is actively being considered. An application is in hand for the official inclusion of Clinical Radiology Extra for indexing purposes. My thanks to the editorial team for all their hard work during the year.
David Hansell, Editor
22 The Royal College of Radiologists Faculty of Clinical Radiology
Report by the Warden
Expansion of Training Schemes In England, the distribution of the 78 additional training numbers that were made available, with 100% central funding, for 2003/2004 was made using a geographic weighted capitation deficit formula. The efforts of all those involved within training schemes in establishing these additional training posts are much appreciated. A further 28 additional training numbers, also carrying 100% funding, have been made available in England for 2004/2005 and have been distributed in the same manner as those in 2003/2004. A further 60 training numbers have been promised for 2005/2006 to facilitate the first intake of trainees into the Radiology Academies. The continued lack of additional training numbers for Northern Ireland, Scotland and Wales remains a problem, as does the absence of a national workforce planning process.
Integrated Training Initiative The Integrated Training Initiative (ITI) proposal was launched in July 2003. It will establish Radiology Academies and develop a centralised electronic database of training material, which together should allow certain training schemes to double the number of trainees that they can accommodate during the first 3 years of training. Funding for both components of the initiative is to be provided by the Department of Health. The Academies will be equipped with multimedia training facilities to enable electronic learning and links to PACS reporting, procedural sessions and multidisciplinary team meetings. This approach should liberate trainers’ time and allow more trainees to absorb reporting of procedural sessions than can currently be accommodated. The first wave of Academies has been announced and development is proceeding in Leeds, Norwich and Plymouth, with the aim of the initial intake occurring in 2005. It is hoped that there will be calls for further Academy developments in the near future. Clinical radiologists Dr RC Fowler and Dr PG Cook and Professor JR Grant, who is a medical educationalist at the Open University, are developing the material and style of teaching required for the electronic learning database (eLD) which is now to be co-ordinated through the National Health Service University (NHSU). Section and module editors for each of the sub-specialties have been appointed. The College is extremely grateful to all who are participating in this ambitious initiative.
Structured Training in Clinical Radiology Structured Training in Clinical Radiology – the document that defines the curriculum for specialist training – has been revised to keep up with the pace of change in the specialty. Publication of the 4th edition is planned for Summer 2004. It is planned that Foundation eLD material will be available for the initial intake of trainees in 2005, with the full resource available in 2006.
Sub-Specialty Training Curricula As clinical radiology becomes more specialised it has been deemed appropriate to further develop sub-specialty curricula. The hard work to achieve this has been undertaken by members of the Working Party for Examinations and Training Initiatives, under the chairmanship of Dr MD Hourihan. Publication is planned for Summer 2004 through the College website.
Annual Report and Accounts 2003–2004 23 Faculty of Clinical Radiology
Fellowship Examination Structure The revised format First FRCR Examination, which was introduced at the Winter 2002 sitting, has proved very successful. The first sitting of the new format Final FRCR Part A Examination, which now comprises 6 discrete modules, was successfully held in Spring 2004. The increase in the number of candidates is causing strain on the Final FRCR Part B Examination, both in terms of the space and numbers of examiners required to conduct the examination. The number of new examiners appointed each year is being increased, which presents challenges at this time when obtaining leave from the NHS is becoming more difficult. The College is grateful to the members of its examining boards and MCQ panels, and to those past examiners who have readily offered their services again, for their considerable input into all 3 parts of the examination.
Modernising Medical Careers After completion of the new 2-year Foundation Programme, it is anticipated that most doctors will directly enter specialist training. Inevitably, this will mean that fewer of those joining clinical radiology in the future will have as much clinical patient management experience as at present. The College is investigating whether a more streamlined method than used at present for selecting trainees for the specialty could be established. It will be interesting to see what changes the Postgraduate Medical Education and Training Board (PMETB) makes. There have been calls to shorten the duration of specialist training in clinical radiology. This comes, however, at a time when the length of training in Europe and the USA is being increased to 5 years. It has been repeatedly emphasised that the radiologists who provide the bulk of service in the UK, namely those in district general hospitals, need to be well trained in general radiology before developing 1 or more sub-specialty interests. The College’s Focused Individualised Training (FIT) initiative offers an opportunity by which trainees who, at the beginning of their specialist training, have a clear and demonstrated sub-specialty aim, can gain experience in this area from an early stage in their career and receive continued exposure throughout their training. This approach should allow both the general and sub-specialty components of their specialist training to be completed within 5 years.
Undergraduate Curriculum A short-life working party, under the chairmanship of Dr SJ Golding, has been formed to consider how appropriate inclusion of clinical radiology in the undergraduate curriculum could be achieved. The aim is to produce a document that offers a persuasive tool for undergraduate deans.
Diploma in Dental Radiology The format of the Diploma in Dental Radiology Examination has been modified. A revised syllabus for the new format examination is due for publication in Summer 2004.
24 The Royal College of Radiologists Faculty of Clinical Radiology
Royal College of Radiologists’ Roentgen Professor Dr AJ Molyneux visited 6 UK training schemes in Spring 2004 as the 2004 RCR Roentgen Professor, delivering practical teaching, as well as insight into his recent work in interventional radiology to trainees and consultants across the country. Dr AJ Evans was appointed as the 2005 RCR Roentgen Professor and will visit a number of UK training schemes in Spring 2005.
Couch Kerley Travelling Professor Professor GP Krestin visited 9 UK training schemes in Autumn 2003 as the 2003 Couch Kerley Travelling Professor and delivered a lecture at the 2003 Annual Meeting.
Adrian Dixon, Warden of the Faculty of Clinical Radiology
Annual Report and Accounts 2003–2004 25 Standing Committee Reports
Junior Radiologists’ Forum (JRF) The JRF represents the interests of trainees in both clinical oncology and clinical radiology within the College. There are forum groups for both specialties. An Executive Committee is elected from the forum groups. The JRF Chairman is a co-opted member of College Council. The Executive nominates a member from the relevant faculty to represent the views of junior radiologists on the Faculty and Education Boards of both clinical oncology and clinical radiology. Forum members are also represented on other College committees. The minutes of JRF meetings are available on the members and Fellows section of the College website, as are the contact details of the Regional Representatives. During the past year the JRF has represented the views of trainees at College Committees on a number of College projects. These have included the preparation of publications, such as Imaging in Oncology – Diagnosis, Staging and Radiotherapy Planning and Modernising Medical Careers – Can SHO Posts in Oncology Be Used for Specific Medical Training?, advising on trainee views on the Integrated Training Initiative and examining skills mix in clinical radiology departments. The clinical oncology section have worked to improve the oncology JRF section on the College website.
Anna Winship, Chairman
26 The Royal College of Radiologists Standing Scottish Committee In Scotland, Trusts have been dissolved and are now to be called Divisions, responsible to and managed by Regional Health Boards with the development of “National Health Service Scotland”. This now presents a quite different scene from the organisation south of the border. Over the last year, a large number of new policies, initiatives, and programmes have been introduced. While these have been designed to improve the health of the people of Scotland, many have been controversial and it remains essential that each is scrutinised closely, particularly when they affect oncology and radiology. The Standing Scottish Committee continues to supply information and advice to the Scottish Health Service on those issues concerning clinical oncology and clinical radiology while introducing and supporting initiatives from the membership of our two specialties. Again this year workforce planning remains the most serious issue to affect both specialities. The Chief Medical Officer (CMO) for Scotland, Dr Mac Armstrong, was appraised of the dire situation in clinical radiology and has been introduced to the Integrated Training Initiative (ITI) with a presentation from the College, but as yet there has been no practical action forthcoming and, worse, some reduction in training numbers by the Postgraduate Deans. All but 2 of the training slots are filled and the situation remains critical. Dr R Mackenzie repeated the previous audit of consultant vacancies for the committee, which confirmed a worsening situation with a 19% shortfall in clinical radiology; this verified data has been sent to the CMO’s Office. Although it has not been possible this year, the committee intends to organise a meeting with the Scottish Office when College Officers can present the ITI plan to NHS Education Scotland and the Postgraduate Deans. The crisis in the West of Scotland at the Beatson Oncology Centre has been less newsworthy this year than last year. Professor Alan Rodger has been appointed Director, although further consultant staff and radiographers are still required. How the reforms in Modernising Medical Careers will affect training in clinical oncology and clinical radiology remain to be seen. There is considerable concern about the Foundation Year 2 content and the potential to “dumb down” consultant status. Although the equipment base has improved, revenue costs for major capital equipment remain a problem. Substantial increased funding has been released over the last year but much of it is hypothecated to improve specific diseases such as cancer or for administrative areas such as waiting times. This has been supported by the “Golden Jubilee National Hospital” with selective capacity to deal with long waiting lists. Clinical oncology has benefited but clinical radiology has found it difficult to gain access to these new funding streams. The Scottish Cancer Plan continues to be implemented. CiRiS is now running in all but 1 Division. The first tranche of national data was recovered in the New Year and included an assessment of the radiology asset base in Scotland and projected equipment replacement dates, in addition to waiting times for the various modalities. Most hospitals have now populated several of the modules and are using the system routinely for clinical governance. The Scottish aspects of its management are organised by the CiRiS Liaison Board for Scotland. As the original 3-year grant from the Scottish Office ends in April 2005, we are in the process of persuading the new Regional Health Boards to continue the funding. Our representation on SIGN continues. This organisation has settled down after undergoing considerable change and its sublimation into ‘NHS Quality Improvement Scotland’. The guidelines are now influencing clinical practice throughout the country with expressions of interest from continental Europe. The radiological and oncological aspects of their advice still need to be carefully
Annual Report and Accounts 2003–2004 27 Standing Committee Reports
scrutinised, and it is essential that the College continues to participate actively in the formulation of the guidelines as they have far reaching influence on our day-to-day practice. The implementation of several guidelines are causing problems at department level; in particular, the provision of CT for stroke is problematic. Managed Clinical Networks are at present negotiating reorganisation of department procedures to accommodate them. Members have been active representing the College in Scotland on multiple working parties and advisory boards set up by the Scottish Executive and dealing with stroke, dementia, epilepsy, various cancers and coronary heart disease. The Scottish Academy represents all the Royal Colleges and provides a cohesive voice when advising government. The Scottish Radiological Society has had an innovative and informative series of conferences this year maintaining its close links with the Standing Committee, with representatives attending meetings of each group. This was found to be mutually beneficial allowing dissemination of ideas and information. Ideas, problems and feedback from all members and Fellows are always difficult to obtain but I would welcome any contacts either through your elected representatives on the Standing Committee or directly to myself. I will endeavour to continue to ensure that the voice of our 2 Faculties is clearly heard at the College and that it influences the development of health care in Scotland. Dr David Nichols has now taken over as secretary and I should like to thank him for his unstinting support. My thanks go to all members of the committee for their hard work over the last year.
Donald Hadley, Chairman
28 The Royal College of Radiologists Standing Committee Reports
Northern Ireland Standing Committee The committee met on 3 occasions in April and June 2003 and in March 2004. Dr Graham Crothers has completed his term as Chairman of the committee and we are most grateful for his careful stewardship of the agenda over the last few years. The committee continues to consider the many issues which confront radiology, and members appreciate the opportunity to share a common forum with the Chief Medical Officer and the College officers at the summer meeting. The pressures on clinical radiology continue unabated and members have stressed the importance of continuing expansion in the local training establishment to allow delivery of the ever increasing workload required from imaging departments. Progress is being made with the introduction of a new professorial appointment for Diagnostic Imaging and members have indicated their strong preference for a clinical radiologist appointee. The initiation of the Northern Ireland Regional PACS Project (NIPACS) has been welcomed and discussed by the committee and members look forward to an integrated RIS/PACS system for Northern Ireland. In recent weeks the committee has been preparing a response to the proposals for a new consultant reward scheme to replace the existing discretionary points and merit award procedures.
Brendan Devlin, Chairman
Annual Report and Accounts 2003–2004 29 Standing Committee Reports
Standing Welsh Committee (SWC) I have taken over the Chairmanship from Dr Neils Powell (Swansea) who has chaired the committee since its inception. On behalf of the committee, I express my thanks to Neils for his hard work, diligence and achievements. Dr Chris Gaffney has generously agreed to continue as secretary of the standing committee, because of difficulties in finding a ready replacement. Dr Gaffney has been an invaluable and loyal member of the committee. We held meetings in September 2003 and March 2004. One of the main concerns for the committee this year has been the collapse of funding for the newly set-up North Wales radiology training scheme. There are continuing discussions taking place between the standing committee officers, the regional training adviser and the Welsh Assembly Government (WAG) to resolve this funding crisis. Consultant manpower, in both clinical radiology and clinical oncology, remains a serious problem, particularly in West and North Wales. The situation has been exacerbated by long-term sickness, retirements and transfers. It is felt that the new consultant contract will do little to address this problem in the short term. There has been no progress on a regional PACS strategy. Individual trusts are now seeking their own solutions for PACS, which have met with mixed success. It is becoming increasingly apparent that e–technology does not have the same funding priority centrally as appeared to be the case some 18 months ago. Equipment purchase is less of a problem at this time than previously, although there are a number of older MRI and single-slice CT scanners in Wales waiting to be replaced. There has been central discussion about the purchase of PET scanners for Wales, based at 3 sites: Cardiff, Swansea and North Wales. These discussions are at an early stage and have not involved the SWC to date. The Welsh Academy of Royal Colleges has examined Modernising Medical Careers (MMC) and the likely impact the changes contained therein will have on training and future manpower quality. 3 trusts in Wales are taking part in the Foundation Year 2 posts to include clinical radiology as part of the rotation. It is noted that the clinical radiology component of the training will not receive RCR approval. These posts will commence in August 2004. The officers of the SWC are due to meet the Chief Medical Officer, Dr Ruth Hall, to discuss some of the problems relating to MMC but, also, to seek support and funding for the setting up of a Welsh radiology training academy under the Integrated Training Initiative. Another focus of discussion for SWC has been the widespread difficulties in implementing National Institute for Clinical Excellence (NICE) head injury guidance. In the light of recent written edicts on NICE guidance from the new Healthcare Commission Chairman, Professor Sir Ian Kennedy, this issue raises very serious resource and risk management problems for all imaging departments in Wales handling suspected head and neck trauma. Finally, I would wish to thank all SWC members for their hard work and commitment and welcome new members: Drs Fiona Brook (Gwent), Rob Byrne (North Wales) and Kath Rowley (North Wales).
Frank Williams, Chairman
30 The Royal College of Radiologists Accounts 2003
Report by the Treasurer of the College 1 Extracts from accounts 2003 2002 Restated
Total Net Assets of the College 7,858,733 6,887,358 General Fund Net Assets 2,658,967 2,266,701 (The General fund is the only unrestricted fund of the College and is utilised for the day-to-day College business.) Other Funds Net Assets 5,199,766 4,620,657 (These ‘other’ funds are restricted and designated funds administered by the College. They are for specified purposes and are not available for the use of the general business of the College.) Value of Investment Portfolios 4,449,863 3,575,323 (all College funds, i.e., total investment portfolio)
Gain/(Loss) in Investments 728,488 (906,611) General Fund Only Total income 2,597,881 2,415,160 Total expenditure 2,373,807 2,304,377 Operating surplus/(loss) 224,074 110,783 (from the conduct of the general business of the College) This report covers the financial year 1 January 2003 – 31 December 2003. An abbreviated version of the accounts is to be found on the pages following this Annual Report. The full audited accounts are available on request from 38 Portland Place.
2 Overview of the Year
As indicated above, the operating surplus from the general business of the College was £224,074. From the General Fund surplus, £116,000 has been transferred into the Research and Development Funds. Additionally, during 2003, we have funded the following developments: – upgrade/replacement of the College’s air-conditioning and heating systems (total cost £200,000). In view of the amount involved, this will be capitalised and charged to the accounts by depreciation over 10 years. – further increase in staff for the Education Office, an overall 4.5% increase in staff salaries, and a 1% increase in employer’s National Insurance contribution (£56,000). – website development (£27,000). – publication of major new documents, including: Making the Best Use of a Department of Clinical Radiology, 5th Edition in both paper and electronic formats, and the Clinical Oncology Audit Book.
Annual Report and Accounts 2003–2004 31 Accounts 2003: Treasurer’s Report
3 Investment Committee
Following their re-structuring of our investment portfolios during 2002, Carr Sheppard Crosthwaite, our investment managers, have taken advantage of the hoped-for recovery in the UK and overseas stock markets. Their performance during 2003 has been outstanding, achieving a 24.6% increase in the overall value of our portfolio, significantly outperforming our chosen benchmark and all the market indices. The recovery in the overall value of the College’s portfolio is to be welcomed, and I am greatly reassured that such valuable outside assistance has become an integral part of the Investment Committee.
4 Finance Advisory Committee
The Finance Advisory Committee meets immediately after the Investment Committee, 3 times per year. The quarterly management accounts are analysed, budgets are reviewed, and any other matters relating to the financial activities of the College are discussed. For 2004, funding has been allocated for the following developments: – planned cyclical refurbishment of the College premises (£50,000 pa) – further website development (£43,000) – the use of Electoral Reform Services in College elections (£4,000) – examination development costs (£10,000) – an overall increase in staff salaries of 4.5% (£43,000) – staff occupational health scheme and income protection insurance (£8,000) – consultancy fees for reviews of staff pay/benefits and of investigating a staff appraisal system (£15,000) Having taken into account the above, plus all other identifiable income and expenditure, we have set a conservative budget for 2004, estimating a surplus in the order of £40,000. As always, the quarterly management accounts will allow us to keep a close watch on our financial situation, and this permits us to modify our spending plans accordingly as the year progresses. The Treasurer is grateful to the members of the committee not only for helping to scrutinise and monitor the financial activities of the College, but also for assisting in the formulation and implementation of the budgets and financial policies.
5 The College Employees
The average number of employees (full-time equivalents) during the year was 24.1 (23.7 in 2002) Costs in respect of College employees 2003 2002 Salaries and wages 625,086 623,557 National Insurance (NI) costs 65,414 56,631 Pension costs 49,395 43,089 Total costs (includes all other staff-related costs) 810,027 804,948
32 The Royal College of Radiologists Accounts 2003: Treasurer’s Report
6 Radiology and Oncology Congresses (ROC) and Radiology and Oncology Congresses Meetings and Exhibitions, Ltd (ROCME Ltd) These 2 companies were formed in order to enable the RCR to go into partnership with the British Institute of Radiology, Society and College of Radiographers, and Institute of Physics and Engineering in Medicine as organisers of United Kingdom Radiological and United Kingdom Radiation Oncology Congresses. ROC is a registered charity which administers the congresses, and ROCME Ltd is a trading company which runs the associated commercial exhibitions. In late 2002/early 2003, it became apparent that, whilst the 2 congresses were extremely successful in both scientific and financial terms, given the increasing activity levels, the organisation and financial affairs of the 2 parent companies could benefit from a review. Following a series of meetings, it was resolved that a small executive group should ‘run’ the companies on behalf of the Boards, with Peter Wells as Chairman, Michael Maisey as Vice-Chairman, the RCR Treasurer as Company Secretary/Treasurer, and Ken Green, RCR Finance Secretary, as the Finance Officer. Thanks to a great deal of hard work by all, the finances of the companies are in excellent order. The 4 member organisations have benefited from the profits of the operation, which are donated to them by ROC in proportions which are in accordance with a pre-arranged formula. We remain optimistic for the future of this joint venture.
7 Outlook As in previous years, the College generated surplus income over expenditure in 2003, allowing us to continue to invest in staff, facilities, and the infrastructure of the College building, and we have also been able to devote funds to support research and development in both clinical radiology and clinical oncology. However, as identified in last year’s Treasurer’s report, a longer term strategy is needed in order to safeguard the College’s ability to continue to support research and development, and this will be a key item for the Treasurer to tackle in 2004.
8 Approval of Council
The Audited Accounts were approved by Council on 12th March 2004. The Annual General Meeting will be asked to adopt them on 14th September 2004, when it will be proposed that Sayer Vincent should be re- appointed as College Auditors, and that Council be empowered to set the subscription rates for 2004/2005 in accordance with the prevailing rate of inflation and the anticipated budgetary needs of the College.
9 Acknowledgements
I would like to thank College staff, Fellow Officers and members of the Finance Advisory Committee for their hard work and support in my work as Treasurer.
Henry C Irving, Treasurer
Annual Report and Accounts 2003–2004 33 Financial Statements
Legal and Administrative details
PRINCIPAL ADDRESS SOLICITORS INVESTMENT MANAGERS 38 Portland Place Carter Lemon Camerons Carr Sheppards Crosthwaite Limited London W1B 1JQ 11 Breams Buildings 2 Gresham Street London EC4A 1DW London EC2V 7QN
REGISTERED CHARITY NUMBER Hempsons BANKERS 211540 33 Henrietta Street National Westminster Bank PLC London WC2E 8NH PO Box 2021 10 Marylebone High Street London W1A 1FH
AUDITORS CafCash Ltd Sayer Vincent Kings Hill Chartered Accountants West Malling Registered Auditors Kent ME19 4TA 8 Angel Gate City Road London EC1V 2SJ
STATUS The organisation is a registered charity, incorporated by Royal Charter in 1975
OFFICERS OF THE COLLEGE Dr DV Ash President Dr HC Irving Treasurer Professor A Barrett Vice President and Dean of the Faculty of Clinical Oncology+ Registrar of the Faculty of Clinical Oncology* Dr MRE Dean Vice President and Dean of the Faculty of Clinical Radiology * Dr PA Dubbins Vice President and Dean of the Faculty of Clinical Radiology + Dr RD Hunter Registrar of the College and Registrar of the Faculty of Clinical Oncology Professor AK Dixon Warden of the Fellowship and Warden of the Faculty of Clinical Radiology Professor P Dawson Registrar of the Faculty of Clinical Radiology Dr FMB Calman Warden of the Faculty of Clinical Oncology Professor DM Hansell Editor of the Faculty of Clinical Radiology Dr PJ Hoskin Editor of the Faculty of Clinical Oncology
* to 11 September 2003 + from 11 September 2003
Chief Executive AA Hall (appointed 1 April 2003)
34 The Royal College of Radiologists Report of the Council These summarised accounts are extracted from the full unqualified audited accounts approved by the Council on 12 March 2003 and subsequently submitted to the Charity Commission. They may not contain sufficient information to allow a full understanding of the financial affairs of the College. For further information the full accounts, the auditors’ report on those accounts, and the Council’s Annual Report should be consulted: copies of these can be obtained from The Royal College of Radiologists, 38 Portland Place, London W1B 1JQ. Signed on behalf of the Council Dr HC Irving Treasurer July 2004
Auditors’ report on summarised accounts Independent Auditors statement to the Council of The Royal College of Radiologists
We have examined the summarised financial statements of The Royal College of Radiologists, set out on pages 36 and 37.
Respective responsibilities of Council and auditors
The Council, who are trustees under charity law, are responsible for preparing the annual report in accordance with applicable law. Our responsibility is to report to you our opinion on the consistency of the summarised financial statements within the Annual Report with the full financial statements and Council’s Report. We also read the other information contained in the annual report and consider the implications for our report if we become aware of any apparent misstatements or material inconsistencies with the summarised financial statements.
Basis of Opinion
We conducted our work in accordance with Bulletin 1999/6 The auditors’ statement on the summary financial statement issued by the Auditing Practices Board for use in the United Kingdom.
Opinion
In our opinion the summarised financial statements are consistent with the full financial statements and Council’s report of The Royal College of Radiologists for the year ended 31 December 2003.
SAYER VINCENT Chartered Accountants Registered Auditors London
July 2004
Annual Report and Accounts 2003–2004 35 Accounts 2003: Financial Statements
THE ROYAL COLLEGE OF RADIOLOGISTS Balance sheet As at 31 December 2003
2003 2002 £ £ £ FIXED ASSETS Tangible fixed assets 2,111,641 2,050,769 Investments 4,449,863 3,575,322
6,561,504 5,626,091 Current assets Debtors 220,390 326,863 Cash at bank and in hand 1,799,821 1,687,669
2,020,211 2,014,532
Creditors: amounts falling due within one year 770,124 753,265
Net current assets 1,250,087 1,261,267
Net assets 7,811,591 6,887,358
Funds Restricted funds 3,825,950 3,592,951 Unrestricted funds: Designated funds 1,374,076 1,027,706 General fund 2,658,707 2,266,701
Total funds 7,858,733 6,887,358
36 The Royal College of Radiologists Accounts 2003: Financial Statements
THE ROYAL COLLEGE OF RADIOLOGISTS Statement of financial activities For the year ended 31 December 2003
2003 2002 Restricted Unrestricted Total Total £ £ £ £ INCOMING RESOURCES Donations, legacies and similar incoming resources 145,578 25,800 171,378 137,168 Activities in furtherance of the College’s objects: Subscriptions - 1,191,027 1,191,027 1,099,280 Examinations - 328,769 328,769 376,729 Education - 139,675 139,675 104,275 Courses - 167,937 167,937 155,553 Conferences/meetings - 380,433 380,433 372,219 Administration - 58,982 58,982 74,367 Publications - 168,949 168,949 91,301 Activities for generating funds - 43,040 43,040 65,095 Investment income 70,620 148,466 219,086 193,675 Total incoming resources 216,198 2,653,078 2,869,276 2,669,662 Resources expended Cost of generating funds Fundraising and publicity - 41,459 41,459 56,171 Net incoming resources available for charitable application 216,198 2,611,619 2,827,817 2,613,491 Charitable expenditure Examinations 25,328 254,329 279,657 233,887 Education 69,924 228,034 297,958 287,524 Courses 8,231 86,263 94,494 121,017 Conferences/meetings 8,654 354,670 363,324 308,679 Faculties 21,950 152,734 174,684 187,101 Publications 10,553 189,473 200,026 137,358 Medical audit, guidelines and standards 21,739 103,512 125,251 107,657 Grants payable 57,013 163,909 220,922 262,859 Support costs 65,039 727,272 792,311 854,009 Management and administration 4,221 32,082 36,303 52,287 Total charitable expenditure 292,652 2,292,278 2,584,930 2,552,378 Total resources expended 292,652 2,333,737 2,626,389 2,608,549 Net incoming resources for the year before transfers (76,454) 319,341 242,887 61,113 Transfers 260 (260) - - Net incoming resources for the year (76,194) 319,081 242,887 61,113 Gains and losses on investments Realised 50,634 70,817 121,451 (250,227) Unrealised 258,559 348,478 607,037 (656,384) Net movement in funds 232,999 738,376 971,375 (845,498) Funds at beginning of year 3,592,951 3,294,407 6,887,358 7,732,856 Funds at end of year 3,825,950 4,032,783 7,858,733 6,887,358 All of the above results derived from continuing activities. There were no other recognised gains or losses other than those stated above.
Annual Report and Accounts 2003–2004 37 The Royal College of Radiologists X Appeal
Report by the Chairman of the X Appeal I would like to thank all donors for their generous support of the X Appeal. In these times of financial uncertainty the contributions from individuals and organisations are especially appreciated. I would also like to pay tribute to Dr Norman Howard, who retired in 2003, after having chaired the X Appeal since its creation, 10 years previously. Norman’s enthusiasm for, and dedication to, the Appeal during that time resulted in the accrual of funds of almost £1.7m – a truly remarkable achievement. In recent years the prime object of the Appeal has been to raise money for pump-priming research projects. During 2003 X Appeal funds assisted 8 new projects in clinical radiology, and 3 in clinical oncology. In addition the X Appeal continues to help support 2 RCR Research Fellowships. At the present time the X Appeal is going though a period of transition. The administrative infrastructure is being revised, and discussions are in hand with College Officers as to the future direction of the Appeal. This may mean that our objectives will widen to include helping other developments at Portland Place, such as a major refurbishment of the basement area to provide an education and research facility for members and Fellows, possibly in association with the British Institute of Radiology. Donations continue to be an important source of income, as do tried and tested favourites, such as the annual College Golf Day. One innovation is our participation in the Great Weather Lottery, which I hope will capture the imagination of members and Fellows (not to mention their family and friends!) as a light-hearted, and possibly even profitable, way to support the Appeal. Information on the Great Weather Lottery can be obtained from the College. The next year will be a period of re-appraisal of the aims and administration of the X Appeal, but the hope is that this will result in an enterprise which will build on past successes to continue to give substantial support to research and other important College projects.
Terry Priestman, Chair, The X Appeal
38 The Royal College of Radiologists X Appeal Donors
To contact the X Appeal, please either email [email protected] or telephone the College on 020 7636 4432
Patrons of the X Appeal:
The Rt Hon Tony Blair MP The Rt Hon Lord Callaghan of Cardiff KG The Rt Hon Sir Edward Heath KG MBE MP The Rt Hon John Major CH MP The Rt Hon Baroness Thatcher LG OM FRS
Distinguished friends of the X Appeal:
Sir Michael Caine CBE Dame Judi Dench Professor Sir Richard Doll CH FRS Hon FRCR Mr Bamber Gascoigne Mr Michael Grade CBE Lord Hanson of Edgerton Mr Kenneth Harris CBE Miss Kate Humble Sir Jeremy Isaacs Dame Kiri te Kanawa Sir Trevor McDonald OBE Mrs Patricia Nimmo Dame Diana Rigg Sir Jimmy Savile Kt OBE KCSG Hon FRCR Professor Sir Richard Southwood DL FRS Hon FRCR Miss Rachel Weisz Lady Wolfson of Sunningdale
Nobel Laureates:
Sir Godfrey Hounsfield CBE FRS Hon FRCR Sir Peter Mansfield FRS Hon FRCR Professor Joseph Rotblat CBE FRS Hon FRCR
Annual Report and Accounts 2003–2004 39 X Appeal Donors
Since the publication of the Annual Report and Accounts for 2002-2003, the following have made donations to the RCR’s X Appeal, which are very much appreciated:
Major contributors Members/Fellows Prof Sir P Forrest Dr C McKenzie Bryan Guinness Dr J Abraham Dr GM Fraser Dr G McKillop Charitable Trust Dr D Alexander Dr H Gattamaneni Dr B Macfie Cardy Beaver Foundation Dr J Alexander Dr R Gibbs Prof J Malpas Coral Samuel Dr AH Ap-Thomas Dr J Gibson Dr D Martin Charitable Trust Prof C Bartram Dr FN Gidwani Dr EC Martin Haymills Charitable Trust Dr T Bates Dr P Golding Dr JH Miller Kirby Laing Foundation Dr C Baughan Dr S Goodman Dr A Moore Thos Sivewright Catto Prof R Begent Dr R Goodwin Mr G Mountford Charitable Settlement Dr LA Berger Dr B Green Prof A Muir William A Cadbury Dr G J Green Dr B Muir Charitable Trust Dr J Berry Prof R Berry Dr J Guy Dr F Neal Dr PM Hacking Dr A Neild Other generous Prof N Bleehen CBE supporters Dr R Bodley Dr RA Haddow Dr DM Nichols Anatomical Donors Prof L Brady Dr J Hall Dr AA Nicholson Association Mr P Bretland Dr C Harmer Dr AC Offiah Mr C Booth Dr MJ Brindle Dr R Harries Dr S Osborn Brig & Mrs Phelps Dr JAS Brookes Dr S Harrison Sir C Paine Charitable Settlement Dr AJ Chippendale Dr TD Hawkins Dr R Parfitt De Clermont Charitable Dr BV Clegg Dr S Heenan Dr R Park Company Ltd Dr M Cohen Dr C Heron Dr S Parsonage Douglas Heath Eves Dr A Hine Dr RM Paxton Charitable Trust Dr W Copland Dr P Hirschmann Dr D Pearson Grahame Charitable Dr C Coulter Foundation Dr O Craig Dr S Holesh Dr C Penn Mrs D Hall Dr M Crofton Dr H Horwitz Dr N Powell Haynes Publishing Prof W Curati-Alasonatti Dr ML Hughes Prof P Price IBC Charity Fund Drs R and Z Davies Dr R Hunter Dr N Ramsey National Cancer Society Prof A Dixon Prof J Husband Dr G Rees of Malaysia Sir R Doll Dr HC Irving Prof G Roberts Oppenheimer Prof EPGH du Boulay B Johnston OBE Dr JT Roberts Charitable Trust Dr AW Duncan Dr R Jyothirmayi Dr JDG Rose Raymond & Blanche Dr AS Early Dr A Kiltie Mr W Ross Lawson Charitable Trust Dr R Eban Dr C Kirkpatrick Dr JGB Russell Roger & Sarah Clark Mr CK Koo Dr A Saleem Charitable Trust Dr J M Elliott Dr I Kunkler Dr A Salisbury South of England Prof F Ellis OBE Agricultural Society Dr HA Euinton Dr B Lavery Dr P Sidhu Stevenson Family Dr C Flower Dr J Law Dr K Simpkins Charitable Trust Dr P Flynn Dr E Levine Dr H Soteriou Dr A Folkes Dr JE Lockwood Dr B Southcott Dr J McIvor Dr J Sowerbutts
40 The Royal College of Radiologists Dr GM Steiner Golf supporters Dr P Guest Siemens Medical Ireland Prof R Steiner Dr N Aicheson Dr J Hampton Mr A Singh Dr H Stewart Dr E Allan Mr N Jennings Mr M Smith Dr DJ Stoker Amersham Health Mr P Kelly Mr D Smith Prof I Stratford Mr C Aniyi Mr S Kelly Mr I Stewart Dr AKM Taylor Mr M Bagnall Dr R G M Kendrick Mr A Thompson Dr M Taylor Mr B Bentick Kodak Dr M Velamati Dr JLG Thomson Bracco Dr J MacPhearson Dr H Watson Dr M Turner Mr H Brunner Dr I McCafferty Dr R Wilson Dr EJR van Beek Dr R Bury Dr S McGee Dr S Yule Dr R Warren Dr J Chandy Mr I McLaughlin Dr C Warrick Miss K Copeland Dr R McNeill Dr B Wheatley Dr M Cowling Dr C Mohan Dr RH Whitehouse Mr S Crocker Mr D Montgomery Dr BK Wignall Mr G Davies Dr FLS Moss Dr A Williams Dr P Dhillon Dr R Orme Dr L Williams Dr J Edge Philips Medical Systems Mr V Wood Dr D Evans Mr M Raines Dr PLC Xavier Dr B Exsteu Mr N Reed Prof J Yarnold Dr T Eyre Mr Russell Dr A Zafar Dr D Grieve Mr Salmon
Annual Report and Accounts 2003–2004 41 Eponymous Lectures, Scholarships, Fellowships, Bursaries, Awards and Prizes
Crookshank Lecture The Crookshank Lecture, entitled Psychosocial Aspects of Screening, was delivered by Professor P Maguire on 21 May 2004, at the Admission of Fellows Ceremony.
Glyn Evans Memorial Lecture The Glyn Evans Memorial Lecture, entitled Conformal Radiotherapy Planning for CNS Tumours and Use of Modern Techniques to Escalate Dose and Reduce Morbidity, was delivered by Dr TE Merchant on 11 September 2003, during the Annual Meeting.
RCR Cook Invitation Lecture The RCR Cook Invitation Lecture, entitled Minimally Invasive Therapy, was delivered by Professor A Gangi on 11 September 2003, during the Annual Meeting.
David Skeggs Lecture The inaugural David Skeggs Lecture, entitled Tales from Old Bones, was delivered by Dr I Watt on 21 November 2003, at the Admission of Fellows Ceremony.
RCR Tesla Lecture The 2003 RCR Tesla Lecture, entitled Blood Flow to the Liver: Normal and Pathologic Features on CT, was delivered by Dr D Balfe, on 15 June 2003, at UKRC. Professor Sir Peter Mansfield delivered the 2004 RCR Tesla Lecture, entitled Snap-shot MRI, on 8 June 2004, at UKRC.
George and Vera Ansell Poster Prize The 2003 George and Vera Ansell Poster Prizes were awarded to Dr RR Misra for the poster entitled Musculoskeletal Presentations in AIDS: a Pictorial Review, and to Dr SS Usiskin for the poster entitled Neonatal Hip Ultrasound: Is Selective Screening Effective?
Audit Poster Prizes The 2003 Audit Poster Prizes were awarded to Dr CS Keeling-Roberts for the poster entitled Reducing the Demand for Lumbar Spine Radiography from General Practice, and to Dr SP Suresh for the poster entitled Audit of A&E Management of Suspected Scaphoid Fracture.
Ellis Barnett Prize The 2002 Ellis Barnett Prize, for the best ultrasound paper published in Clinical Radiology, was awarded to Dr MM Marshall and co-authors, for the paper entitled Assessment of Portal Venous System Patency in the Liver Transplant Candidate: A Prospective Study Comparing Ultrasound, Microbubble- enhanced Colour Doppler Ultrasound, with Arteriography and Surgery. The 2003 Ellis Barnett Prize was awarded to Dr TB Hall and co-authors for the paper entitled The Role of Ultrasound-guided Cytology of Groin Lymph Nodes in the Management of Squamous Cell Carcinoma of the Vulva: 5-year Experience in 44 Patients.
42 The Royal College of Radiologists Constance Thornton Fellowship The 2004 Constance Thornton Fellowship was awarded to Dr A Paterson, Royal Belfast Hospital for Sick Children.
Cook Interventional Fellowship The 2004 Cook Interventional Fellowship was awarded jointly to: Dr AJ Edwards, Plymouth & Peninsula training scheme Dr K Saliba, Newcastle upon Tyne training scheme Dr TC See, Royal Free Hospital, London training scheme
ECR Travel Bursaries The 2004 ECR Travel Bursaries were awarded to: Dr LC Bamford, Northern Ireland training scheme Dr IK Beale, Royal Free Hospital, London training scheme Dr JD Birchall, Nottingham training scheme Dr AJ Edwards, Plymouth & Peninsula training scheme Dr A Saini, Hammersmith & Charing Cross Hospitals, London training scheme Dr JMKS U-Kim-Im, Cambridge training scheme
Editor’s Medal The 2002 Editor’s Medal for the best paper published in Clinical Radiology was awarded to Dr CJM Roche (as an individual) for the papers entitled The Atlanto-axial Joint: Physiological Range of Rotation on MRI and CT and The Rheumatoid Cervical Spine: Signs of Instability on Plain Cervical Radiographs.
In 2003 the Editor’s Medal was awarded to Dr JH Gillard and co-authors for the paper entitled Diffusion Tensor Imaging of Brain Tumours at 3 T: A Potential Tool for Assessing White Matter Tract Invasion?
Ella Prieskel Prize The 2002 Ella Prieskel Prize, for the best paediatric paper published in Clinical Radiology, was awarded to Dr KJ Johnson and co-authors, for the paper entitled The Early Magnetic Resonance Imaging Features of the Knee in Juvenile Idiopathic Arthritis.
The 2003 Ella Prieskel Prize was awarded to Dr JV Cook and co-authors for the paper entitled Antenatal Hydronephrosis: Negative Predictive Value of Normal Postnatal Ultrasound – a 5-year Study.
Frank Ellis Medal The 2003 Frank Ellis Medal, for the paper considered to have made the best contribution to advancing the cause of science in cancer treatment or in the use of radiation in the management of benign disease published in Clinical Oncology, was awarded to Dr WJ Mackillop and co-authors, for the paper entitled The Appropriate Rate of Breast Conserving Surgery: an Evidence-based Estimate.
Annual Report and Accounts 2003–2004 43 Eponymous Lectures, Scholarships, Fellowships, Bursaries, Awards and Prizes
Robert and Elma Kemp Harper Prize The 2002 Robert and Elma Kemp Harper Prize, for the best paper on gastrointestinal radiology published in Clinical Radiology, was awarded to Dr CS Ng and co-authors, for the paper entitled Caecal Carcinomas in the Elderly: Useful Signs in Minimal Preparation CT, and to Professor P Robinson and co-authors, for the paper entitled The Use of Minimal Preparation Computed Tomography for the Primary Investigation of Colon Cancer in Frail or Elderly Patients.
The 2003 Robert and Elma Kemp Harper Prize was awarded to Dr S Halligan and co-authors, for the paper entitled Observer Variation in the Detection of Colorectal Neoplasia on Double-Contrast Barium Enema: Implications for Colorectal Cancer Screening and Training.
Kodak Radiology Fund Bursaries The 2004 Kodak Radiology Fund Bursaries were awarded to: Dr SJ Copley – Hammersmith Hospital, London Dr SA Taylor – St Mark’s Hospital, Harrow
Kodak Radiology Fund Scholarship The 2004 Kodak Radiology Fund Scholarship was awarded jointly to: Dr CA Roobottom, Derriford Hospital, Plymouth Dr JMA Slatterley, Cambridge training scheme
Philips Bursary The 2004 Philips Bursary was awarded jointly to: Dr SH Roy-Choudhary, Guy’s & St Thomas’ Hospitals, London training scheme Dr E Sala, Cambridge training scheme Dr A W-K Tang, Leeds/Bradford training scheme
President’s Medal The 2003 President’s Medal was awarded to Professor JR Yarnold.
Reginald G Reid/Graham-Hodgson Scholarship The 2004 Reginald G Reid/Graham-Hodgson Scholarship was awarded to: Dr ID Lyburn, Cheltenham General Hospital
Ross Award The 2003 Ross Award was awarded to Dr AJ Chalmers for the presentation entitled The Role of PARP-1 in the Cellular Response to Low Dose Radiation.
Dr Karol Sicher Cancer Research Fellowship The 2004 Dr Karol Sicher Cancer Research Fellowship was awarded jointly to: Dr B Jones, Hammersmith Hospital, London Dr R Jena, Cambridge training scheme
44 The Royal College of Radiologists Eponymous Lectures, Scholarships, Fellowships, Bursaries, Awards and Prizes
Undergraduate Prizes The 2004 Undergraduate Prizes were awarded to: Clinical Radiology Clinical Oncology Dr J Kingsley Bell, Manchester Dr I Dukic, Manchester Dr G Collin, London Dr R Smith, Leicester
Undergraduate Elective Bursaries The 2004 Undergraduate Elective Bursaries were awarded to: Clinical Radiology Clinical Oncology Dr M McCaffrey, Belfast Dr H Ayub, London Dr J Toy Kasen Mir, Wales Dr C Hiley, Manchester Dr N Patel, Birmingham Dr S Afzal Sohaib, London Dr K Samji, London Dr. M Tinkler, Wales
Annual Report and Accounts 2003–2004 45 Scientific Meetings
Faculty of Clinical Radiology (July 2003 – July 2004)
2003 2004 10-12 September 23 January Annual Scientific Meeting – Clinical Radiology Spiral CT of the Acute Abdomen Meeting Organiser: Professor Iain McCall, Oswestry Meeting Organiser: Dr Clive Kay, Bradford Venue: One Great George Street, London Venue: Royal Institute of British Architects, London Delegates: 427 Delegates: 199 26 September Chest Radiology 30 January Meeting Organiser: Dr Roger Taylor, Leeds Radionuclide Radiology Venue: One Birdcage Walk, London Meeting Organiser: Professor Phil Robinson, Leeds Delegates: 112 Venue: Royal Marsden Conference Centre, London Delegates: 79 17 October Endovascular Treatment of Symptomatic Fibroids 19 March Meeting organiser: Dr Tony Nicholson, Leeds Imaging the Injured Child Venue: Royal Institute of British Architects, London Meeting Organiser: Dr Kieran McHugh, Great Ormond Delegates: 105 Street Venue: Austin Court, Birmingham 3 November Delegates: 91 Contrast Media Study Day Meeting Organiser: Professor Peter Dawson 25-26 March Venue: Northern General Hospital, Sheffield 8th Intermediate MRI Course Delegates: 66 Meeting organiser: Dr Jeremy Jenkins, Manchester Venue: Chancellors, Manchester 6 November Delegates: 51 Seven Common Neurological Emergency Room Conditions 29 April Meeting Organiser: Dr Philip Anslow, Oxford Contrast Media Study Day Venue: Kassam Stadium, Oxford Meeting organiser: Professor Peter Dawson Delegates: 173 Venue: British Institute of Radiologists, London Delegates: 52 21 November Pelvic MRI 11 May Meeting Organiser: Dr John Spencer, Leeds HRCT of the Chest Venue: Thackray Medical Museum, Leeds Meeting Organisers: Dr Steve Ellis and Delegates: 109 Professor Peter Armstrong, London Venue: The Royal Society of Arts, London Delegates: 196 (est)
46 The Royal College of Radiologists Faculty of Clinical Oncology
14 May 2003 Standards in Radiology 11-12 September Meeting Organiser: Dr E Jane Adam, London Annual Scientific Meeting Venue: Royal Marsden Conference Centre, London – Clinical Oncology Delegates: 70 (est) Meeting Organiser: Dr Roger Taylor, 3-4 June Leeds Head & Neck Imaging Venue: One Birdcage Walk, London Meeting Organiser: Dr Julian Kabala, Bristol Delegates: 81 Venue:The Royal Society of Medicine, London 17-19 November Delegates:100 (est) Fundamentals of Conformal 6-8 June Radiotherapy United Kingdom Radiological Congress Meeting Organiser: Dr Neil Burnet, Venue: Manchester Cambridge Delegates: 1800 (est) Venue: Møller Centre, Cambridge Delegates: 60 16-17 June Spring Meeting: Trauma Radiology 5-6 February Meeting Organiser: Dr Nigel Raby, Glasgow Leeds/Mount Vernon Brachytherapy Venue: Glasgow Caledonian University Course Delegates: 200 (est) Meeting Organisers: Dr Catherine Coyle, Leeds and Dr Peter Hoskin,
Northwood Venue: NCRIS, Leeds Delegates: 35 22-26 March Management for Oncologists Meeting Organisers: Dr David Bloomfield, Brighton, Dr Mark Gaze, London, and Dr Peter Kirkbride, Sheffield Venue: Royal College of Obstetricians & Gynaecologists, London Delegates: 32 25-30 June British Cancer Research Meeting Venue: Manchester Delegates: 700 (est)
Annual Report and Accounts 2003–2004 47 Trustees 2003-2004
Officers Warden of the Faculty of Clinical Oncology President Dr Frances Calman, London (2002) Dr Dan Ash, Leeds (2001) Registrar of the College and Registrar of the Treasurer Faculty of Clinical Oncology Dr Henry Irving, Leeds (2000) Dr Robin Hunter, Manchester (2002) Vice-President and Dean of the Registrar of the Faculty of Clinical Radiology Faculty of Clinical Radiology Dr Paul Dubbins, Plymouth (2003) Professor Peter Dawson, London (2002) Dean of the Editor of the Faculty of Clinical Radiology Faculty of Clinical Oncology Professor David Hansell, London (2002) Professor Ann Barrett, Norwich (2002) Editor of the Faculty of Clinical Oncology Warden of the Fellowship and Dr Peter Hoskin, Northwood (1999) Warden of the Faculty of Clinical Radiology
Professor Adrian Dixon, Cambridge (2002)
Council Chairman Dr Dan Ash, Leeds (2001) Clinical Radiology Ex-Officio Dean, Warden and Registrar of the Dr Conall Garvey, Liverpool (2001) Faculty of Clinical Radiology Dr Richard Nakielny, Sheffield (2003) Dean, Warden and Registrar of the Dr Anthony Nicholson, Hull (2002) Faculty of Clinical Oncology Dr Peter Torrie, Reading (2003) Treasurer Professor Jamie Weir, Aberdeen (2002) Co-opted Members
President, British Institute of Radiology Clinical Oncology Chairman, Junior Radiologists‘ Forum Dr Victor Barley, Bristol (2001) Lay Representative Dr Jane Barrett, Reading (2003) Dr Adrian Crellin, Leeds (2003) Dr Clive Harmer, London (2001) Dr Colin Trask, Southend (2003)
( ) = date elected
48 The Royal College of Radiologists W ATERCOLOUR OF THE OUTSIDE OF THE R OYAL C OLLEGE OF R ADIOLOGISTS BY D R T J P RIESTMAN
ISBN 1 872599 87 4 RCR Ref. No. RCR(04)1